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zao qi zhi ti gong neng kang fu xun lian dui nao zu zhong huan zhe yi yu xin li ying xiang de lin chuang guan cha
Author(s): 
Pages: 350-351
Year: Issue:  2
Journal: WEST CHINA MEDICAL JOURNAL

Keyword:  脑卒中肢体功能康复卒中后抑郁;
Abstract: 目的:观察早期肢体功能康复训练对脑卒中患者抑郁心理变化的影响.方法:将80例病人分为康复组和常规组,康复组40例,常规组40例,两组病人均采用脑卒中后的常规药物治疗和心理疏导,康复组在此基础上进行肢体功能康复治疗,两组病人治疗前后均采用Fugl-Meyer运动功能、改良的Barthel指数、汉密尔顿抑郁量表进行评分.结果:两组病人在治疗前、治疗2周后,均进行Fugl-Meyer运动功能、改良的Barthel指数、HAMD评分,康复组治疗前FAM评分为:28.65±16.58,治疗后评分:59.80±23.39,P<0.01,常规组治疗前FAM评分为:32.20±12.38,治疗后评分:48.28±13.02,P<0.01;康复组治疗前改良的Barthel指数评分为:26.88±10.90,治疗后评分:53.50±12.82,P<0.01,常规组治疗前改良的Barthel指数评分为:25.75±9.01,治疗后评分:39.75±11.66,P<0.01;康复组治疗前HAMD评分:27.50±4.73,治疗后评分:14.28±3.66,P<0.01,常规组治疗前评分:26.45±4.66,治疗后评分:18.7±2.82,P<0.01.结果显示有显著性差异(P<0.01).排除重度痴呆以及由于失语、失用、感知功能有障碍而不能参与Fugl-Meyer运动功能、改良的Barthel指数、汉密尔顿抑郁量表评定患者. 结论:早期肢体功能康复训练对脑卒中患者抑郁心理有一定的改善作用.
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